Individual
MRS. AMANDA MICHELLE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 800-5393
(702) 407-7016
Mailing address
820 SAN GABRIEL AVE, HENDERSON, NV 89002
(702) 985-2685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21468
NV
363LA2100X
Acute Care Nurse Practitioner
Primary
828374
NV
Other
Enumeration date
01/09/2020
Last updated
10/21/2022
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